MEDICARE: GABRIELA MARIE ALVAREZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0200X	Infectious Disease Physician	ME162319	FL

General Provider Information

NPI Number	:	1811493562
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIELA MARIE ALVAREZ MD

Provider Business Mailing Address
First Line	:	PO BOX 4370
Second Line	:
City	:	SEMINOLE
State	:	FL
Zip	:	33775-4370
Country	:	US
Telephone Number	:	727-548-0260
Fax Number	:	727-548-0270

Provider Business Practice Location Address
First Line	:	5670 54TH AVE N STE A-1
Second Line	:
City	:	KENNETH CITY
State	:	FL
Zip	:	33709-2067
Country	:	US
Telephone Number	:	727-548-0260
Fax Number	:	727-548-0270

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2018
Last Update Date	:	04/14/2025

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